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Home My WebLink AboutBLDE-22-006359 { ....:.... Commonwealth of Official Use Only E. -- _c • Massachusetts Permit No. BLDE-22-006359 7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:5/3/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 40 RAINBOW RD Owner or Tenant Paul Rescito Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm. Install breakers as needed. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW NoNo.of Self-Contained es 1 Totals: No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 1.. - L - Comnronwtatt/r al rrl y� adeaduseetie Official Use Only f �[Js�var Serviced Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked __________ Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: v u - 7 By this application the undersigned giv his or mention to perform the elTo ectrical trical work described Location(Street&Number) �/Cl >%j it% A d below. Owner or Tenant e to,•4 H,-a-- _ s e" Telephone No.e.- 94 6- Z o 0 Owner's Address 44 ,,,, l GO Is this permit in conjunction with a building permit? yes ❑ No Purpose of Building �Pg ;�r-g c e (Check Appropriate Box) ExistingService/�d Utility Authorization No. Amps / Volts Overhead Undgrd❑ No.of Meters New Service Amps / _Volts Overhead Number of Feeders and Ampacity ❑ Undgrd❑ No.of Meters C Location and Nature of Proposed Electrical Work: leF kit 1.4�� Con rsletion o the oiowin: table m No.of R be waived b the In ctor o Wires. ev ecessed Luminaires No.of Cell.-Susp.(Paddle)Fans `o.o �t No.of Luminaire Outlets Transformers ota �� No.of Hot Tubs KVA A No.of Luminaires Ye Generators KVA Swimming Pool , nd. ❑ n- 'o.oe mergency g •ng ` No.of Receptacle Outlets nd. ❑ Batts Units :y No.of Oil Burners FIRE ALARMS No.of Zones • No.of Switches No.of Gas Burners `o.o t etec on an t r No.of Ranges Initiatin, Devices No.of Air Cond. ota No.of Waste Disposers Tons No.of Alerting Devices 'eat 'amp `um er ons Totals: ......_...._...._.__._._.........._...._. ' `o.o e out n • No.of Dishwashers Detection/Ale , . Devices Space/Area Heating KW Loca 'un No.of Dryers Heating Appliances el Connection ❑ Other KW ty ystems: o.o Hsu fers KW o•o o o No.of Devices or ,uivalent Si L ns Ballasts Data Wiring: No.of Devices or •uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca•ons " r ,g• OTHER: No.of Devices or E•uivalent 7� Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of, lee 'Cal Work y.) Work to Start:.3/' a 2 Inspections to be requested in accordance with MEC u(When required by municipalle 10, INSURANCE CO RAGE: Unless waived by the owner,no permit for the performance of electrical ork may issuelyt the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. unless CHECK ONE: INSURANCE 0 BOND 0 OTHER I certify,under the pains and �(Specify:) f�' ��•' � ��- FIRM NAME: Penalties ojperJury,that the information on this application is true and complete. Licensee: LIC.NO.: Inapplicable,enter"exempt"to the license number line.) Signature Address: LIC.NO.: *Per M.G.L.c. 147,s.57-61,security work Bus.Tel.No.: ' requires Department of Public Safe Alt.TeL No.: r` OWNERS INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage " Safety"S"License: Lic.No. e by law. By my signature below,I hereby waive this requirement. I am the(check one ■ owner ■ owner's a.ent. Owner/Agentd normally Signature Telephone No. PERMIT FEE:$